T23.391

Clinical Causes: Direct contact with hot objects or surfaces, such as scorched metals or heated appliances Contact with chemicals that cause deep burns Electrical injuries involving high voltage or current Flames from fires, including house fires, wildfires, or car accidents Severe thermal burns from explosions or other traumatic events

Key Symptoms: Charring or leathery appearance of the skin, characterized by a dark or blackened surface Loss of sensation in the affected areas due to nerve destruction Severe pain around the injury site (though pain may decrease in areas of nerve destruction) Swelling and inflammation of the wrist and hand Limited or no movement in the affected fingers and wrist Susceptibility to infections due to skin barrier loss Possible fractures or damage to underlying bones and tissues in severe cases

Diagnosis Path: Diagnosis involves a thorough physical examination of the burn sites by a healthcare professional. Key components include assessing the extent and depth of burns, observing signs of tissue damage, and determining the areas affected. In some cases, additional imaging tests such as X-rays may be performed to evaluate underlying bone injuries or complications. The healthcare provider may also assess overall health to plan for effective treatment, considering factors like the patient’s age, health status, and burn severity.

Treatment Protocols: Initial stabilization, including managing pain, preventing infections, and maintaining fluid balance Surgical intervention, such as debridement (removal of dead tissue) and skin grafting, to promote healing Management of wound dressings to protect the skin and support tissue regeneration Use of antibiotics and antivirals to prevent or treat infections Pain management with medications tailored to the severity Physical and occupational therapy to regain function, mobility, and strength in the wrist and hand Long-term rehabilitation, which may include reconstructive surgeries or prosthetic support if necessary